Medical Director - Montana
6 days ago

Job summary
We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience.Aetna has an outstanding opportunity for a Medical Director. This is a remote work at home position.
The Primary Responsibilities include support of the appeal process, clinical claim review process, pre-certification and predetermination of covered benefits in the Commercial and Medicare environment.
- Participate on work groups as a clinical subject matter expert to identify opportunities to improve quality and efficiency.
- Apply clinical coding expertise to ensure alignment with Aetna policies.
Job description
, consectetur adipiscing elit. Nullam tempor vestibulum ex, eget consequat quam pellentesque vel. Etiam congue sed elit nec elementum. Morbi diam metus, rutrum id eleifend ac, porta in lectus. Sed scelerisque a augue et ornare.
Donec lacinia nisi nec odio ultricies imperdiet.
Morbi a dolor dignissim, tristique enim et, semper lacus. Morbi laoreet sollicitudin justo eget eleifend. Donec felis augue, accumsan in dapibus a, mattis sed ligula.
Vestibulum at aliquet erat. Curabitur rhoncus urna vitae quam suscipit
, at pulvinar turpis lacinia. Mauris magna sem, dignissim finibus fermentum ac, placerat at ex. Pellentesque aliquet, lorem pulvinar mollis ornare, orci turpis fermentum urna, non ullamcorper ligula enim a ante. Duis dolor est, consectetur ut sapien lacinia, tempor condimentum purus.
Access all high-level positions and get the job of your dreams.
Similar jobs
Medical Surgical Director
1 month ago
This opportunity for a Medical Surgical Director is perfect for an experienced RN leader who thrives in a dynamic patient-focused environment. · Lead a skilled team committed to providing exceptional care and fostering a culture of teamwork and growth. · Oversight supervisors wit ...
Regional Vice President
3 weeks ago
We are quickly becoming a leader in the space known for our high ethical standards clearly defined terms and fair repayment for personal injury victims · ...
md/do/mbbs
1 month ago
We are seeking a skilled and dedicated physician to join our team as a Medical Director. The ideal candidate will have experience in family medicine, geriatric medicine or internal medicine and be board certified. · The successful candidate will be responsible for leading the med ...
Physical Therapist Supervisor
5 days ago
The Physical Therapist Supervisor assists the Department Director in day-to-day operations of outpatient physical therapy. They divide their time between direct patient care and supervisory duties. · ...
Health Unit Coordinator
1 month ago
Provides indirect care in the department setting under the direction of the Director or designee, and the Charge Nurse. · ...
The Trauma Registrar assumes responsibility for data abstraction from patient charts and data input into the hospital trauma registry generating statistics/reports for various departments and outside entities The Trauma Registrar is also responsible for performing data checks for ...
Ultrasound Technologist
1 month ago
Verifies patient identification and that the requested exam correlates with the patient's clinical history and presentation. Explains the examination and associated procedures to the patient and responds to patient's questions and concerns. · ...
Radiology Technologist
1 month ago
A radiology technologist performs various duties in a radiology department including patient care equipment maintenance communication with other departments. · ...
MRI Technologist
1 month ago
Performs proper safety screening for contraindications to MRI and/or contrast media and other medications. Researches patient implants to confirm safety and works closely with the radiologist, in accordance with manufacturer's specifications, to determine safe scan parameters. · ...
ICU Telemetry Tech (Nights, 0.75 FTE)
1 month ago
Telemetry Technicians oversee cardiac monitoring of all patients by maintaining the operation of the central monitoring station and monitoring software systems. · Preparing, maintaining, and interpreting telemetry waveform data. · Independently observing and interpreting cardiac ...
CT Technologist
1 month ago
Job Summary · A CT technologist verifies patient identification and the procedure requested or prescribed correctly interprets doctors' scanning instructions verifies patient's pregnancy status assesses patient risk for allergic reaction to contrast media prior to administration ...
Registered Nurse
5 days ago
Demonstrates knowledge of the nursing process as a standard incorporating elements of holistic family centered care through collection verification and organization of data about a patient's health status planning for care implementation of plan and evaluation. · ...
Sleep Center Coordinator
3 weeks ago
The Sleep Center Coordinator supports the daily operations of the Sleep Center ensuring efficient patient flow high-quality clinical services and an exceptional patient provider experience. · ...
We're building a world of health around every individual shaping a more connected convenient and compassionate health experience at CVS Health you'll be surrounded by passionate colleagues who care deeply innovate with purpose hold ourselves accountable prioritize safety quality ...
CT Technologist
5 days ago
Verifies patient identification and procedure requested or prescribed. Correctly interprets doctors' scanning instructions. · ...
CT Technologist
1 month ago
Job technologist responsible for scanning patients and performing CT scans. · ...
CT Technologist
1 month ago
The CT technologist will be responsible for performing imaging procedures using computed tomography equipment. The technologist will verify patient identification and the procedure requested or prescribed, correctly interpret doctors' scanning instructions, and assess patient ris ...
MDS Nurse
14 hours ago
We are currently looking for an MDS coordinator to join our great team at our facility in NW Montana. · ...
Pharmacist Ambulatory Clinical
1 month ago
+Job summary · Under the direction of the Director of Pharmacy, the Ambulatory Clinical Pharmacist is responsible for developing, implementing and maintaining pharmacist-managed ambulatory care and/or specialty pharmacy services at St. Peter's Health Medical Group as part of a te ...
Coordinator Sleep Disorders Clinic
1 month ago
Assists the Sleep Center Manager in day-to-day operations of the Sleep Center. · ...